- Humana (Madison, WI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Cardinal Health (Madison, WI)
- …and evaluating strategic opportunities for all lines of business including Medicare , Medicaid , and various commercial markets. Key responsibilities include ... managing the appeal process, analyzing data to identify pricing issues, ensuring regulatory compliance, maintaining communication with stakeholders like pharmacies and PSAO leadership, and improving the MAC appeals process. This role is critical for ensuring… more
- Humana (Madison, WI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Gentiva (Fond Du Lac, WI)
- …a patient may be appropriate for home health or hospice care; Medicare / Medicaid regulations; and interdisciplinary process. + Meets mandatory continuing ... education requirements of Gentiva and licensing board. + Must be able to work efficiently with point of care software. **Education/Experience:** + Minimum of Masters of Science in Nursing from an accredited school of nursing, or an equivalent as allowed under… more
- Humana (Madison, WI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Lundbeck (Green Bay, WI)
- …dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid , Commercial) using Lundbeck resources. **Pharmaceutical ... Environment/Compliance** - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products.… more
- Humana (Madison, WI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Gentiva (Stevens Point, WI)
- …Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid , JCAHO, ACHC) + Knowledge and compassion for ... terminally ill patients and their families + Ability to lead a diverse care team while adapting to the emotional and clinical needs of patients from various backgrounds + Strong interpersonal, organizational, and leadership skills + Competency in clinical… more
- St Croix Hospice (Eau Claire, WI)
- …to support program growth. Additional Responsibilities + Ensures compliance with Medicare , Medicaid , and state/federal hospice regulations. + Participate in ... quality improvement initiatives and ongoing professional development. + Adheres to HIPAA regulations, maintaining patient confidentiality. + Demonstrates knowledge in end-of-life care and counseling. + Completes additional duties as assigned. + Strong… more
- Baylor Scott & White Health (Madison, WI)
- …senior leadership, and senior medical staff including denials from all payers, Medicare / Medicaid audit activities and key contract enforcement activities. + ... Collaborates with Centralized Business Services (CBS) and other revenue cycle departments to streamline referral and appeals workflows. + Supports education and training initiatives to improve documentation and clinical justification practices. + Serves as a… more